Traps in Ultrasound Guided Needling

[@ahmadelgohari7859]

This is by far the most useful US guided vascular access lecture I have ever seen! Thank you so much.

[@blueteam8638]

Thank you too - feedback is priceless.

[@letssingnow]

excellent tips and guidance. Thank you so much....

[@alejandrohernandez-bb7ct]

God bless you! ive been searching for the answer of how thick the beam is since i started using the ultrasound!

[@smg4834]

Excellent. You are a gifted teacher, thank you!

[@kyliebaker346]

Thank you. There is no compliment I value more.

[@ahmadharis518]

Indeed. A great teacher

[@llvopa]

Wonderful presentation. Do you have a recipe for making your " Cannulation phantom" models?

[@orkhanmammad]

Awesome presentation🎉

[@DimisH-td6nw]

Amazing presentation! Can you tell me please, what materials did you use to create the moulage, eventually to provide a link from where I can buy it?

[@blueteam8638]

Sorry, just saw the comments about models. They are cheap but only last a week or so. Gel mix is 100gm of gelatine first softened in 5 cups of very hot water- try to disperse slowly and evenly in water as it gets lumpy, then add 5 cups cold water. As it cools add 1or 2 tablespoon of metamucil ( or other psyllium product)...I often speed cool in fridge briefly. You have to re-stir the psyllium in just before it cools too much, or else it layers out. I am told if you add chlorhexidine it is less prone to going mouldly after a week. The Veins are long modelling balloons filled with water and knotted in segments so that each 'vein' can be punctured in several places. The balloons float to surface so you either tip shape out of mould and puncture from 'bottom' or (particulalry if you are in hot environment ) set the balloons on base of model with thin layer of gel - set extra quickly in freezer then pour rest of semi-cooled mix over top. By leaving the models in the lunch boxes, they are less messy and easier to transport and clean up. Note that due to legal issues, you should always put a layer of thin plastic lunch wrap over model (excluding bubbles) as some US companies will not warranty their probes if they have touched animal protein. Store in fridge until ready to use. I will try and do a short video on making models bu there is good stuff already on internet.

[@DimisH-td6nw]

@@blueteam8638 Thank you very much for your time in explaining everything. You are amazing

[@MrVeer58]

Many thanks for the tips and the excellent video.

[@milosview]

Beautifully narrated

[@ahmedsameer8592]

Wonderful . love this video. very useful

[@blueteam8638]

Thank you. I think I mix up beam-width and sidelobe a bit.

[@mellizatorralba9242]

Thank you so much for the video! I needed this!

[@blueteam8638]

You are very welcome.

[@doctorsofgoldenhour]

Extremely important video

[@blueteam8638]

Thank you.

[@thevascularguy]

Brilliant explanation!

[@blueteam8638]

Thank you, needs a bit of updating though, and separation of sidelobe and beamwidth explanations - beamwidth for small things and sidelobe for large.

[@thevascularguy]

@@blueteam8638 cant wait to see it!

[@elgilany11]

very helpful to my interns, appreciated

[@blueteam8638]

thank you, I am glad it helps.

[@alejandrohernandez-bb7ct]

great tips!

[@dr.raghupathi4222]

Excellent

[@waynebarefield3245]

Any tricks on using IQ with your phone. In particular positioning the phone

[@blueteam8638]

Sorry - haven't got one myself yet...

[@No-xh2cs]

I use one of those gorilla grips tripods to hold my device

[@blueteam8638]

Have you got a picture? I can't quite imagine it...

[@NinjaSheepa]

thank you

[@joakimdam9723]

I never understood why you would use longitudinal technique. Transverse non-fanned never failed for me, always worked even on the hardest cases.

[@robertjbender]

For sure. Transverse gives me a better sense of all three dimensions.

[@Bison162]

We use in plane for everything in radiology, for any sort of biopsies we do. It is tricky to learn, though. And in my department we don’t really do any vascular access.

[@vkab8217]

Speed 1.5x